PROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC
NPI: 1841966116
· EDEN PRAIRIE, MN 55346
· Clinic/Center
· NPI assigned 08/18/2021
$669K
Total Medicaid Paid
Provider Details
| Authorized Official | JAMA, ALI (OWNER) |
| NPI Enumeration Date | 08/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
330 |
$56K |
| 2023 |
2,224 |
$378K |
| 2024 |
1,445 |
$235K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
3,829 |
491 |
$657K |
| H0034 |
Medication training and support, per 15 minutes |
170 |
100 |
$12K |